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General NPI Number Information
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NPI Number | 1386641629
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Entity Type | Organization
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Legal Business Name | HERNANDO-PASCO HOSPICE, INC.
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Dates
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Enumeration Date | 07/01/2005
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Last Update Date | 09/11/2024
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Provider Practice Location Address
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Address Line | 12260 CORTEZ BLVD
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City | BROOKSVILLE
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State | FL
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Zip | 34613-2626
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Country | US
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Telephone | 866-940-0962
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Fax |
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Provider Business Mailing Address
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Address Line | 12470 TELECOM DR STE 301 ATTENTION: COMPLIANCE
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City | TEMPLE TERRACE
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State | FL
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Zip | 33637-0904
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Country | US
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Telephone | 813-871-8075
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Fax |
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Authorized Official
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Title or Position | VP, LEGAL SERVICES
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Name | CRYSTAL BUCCIARELLI
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Credential | ESQ.
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Telephone | 813-871-8075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 5008096
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License Number State | FL
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